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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5105
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
michael (Alien should print typewrité Josephimarply here true, original, and name) age,
51
years.
Miss
or correct
(Give age last birthday)
My present occupation is Freight Stevedore
My personal description is: Color, White: complexion, Fair
; height, 5 feet $7 inches;
weight, 148 pounds; color of hair, Lightituring ; color of eyes,
Blue
;
I was born in Valentia Ireland
other visible distinctive marks: scars in bridge of nose effoidedhand
(City or town)
(Country)
on the
y
day of December
, 191575
My present residence is 53 (Number nd/street) st (City new or town) London. (County) Ct (State)
Chappell
The place where I took the ship or train which landed me in the United States was
Gueenstown Ireland
Tentonic
, on the (Month) 10th of april (Day) 1902 (Year)
The name of the ship or railroad on which I came was
My
last place of foreign said residence was A Valentia Ireland
(City or town)
(Country)
{
wife
I am yes married. The name of
is Julia said O.neill
She
my
was born at
husband
He
Portmagee Ireland and now resides at
I am now a subject of and intend to renounce allegiance to
GrathBitain
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United
States immigration port of new york. city (City or
town)
n (State or territory)
york
,
on the 14-8 16th (Give day exact month, of day/and april year) 1902
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 1beea239c2601013
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5105\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nmichael (Alien should print typewrité Josephimarply here true, original, and name) age,\n51\nyears.\nMiss\nor correct\n(Give age last birthday)\nMy present occupation is Freight Stevedore\nMy personal description is: Color, White: complexion, Fair\n; height, 5 feet $7 inches;\nweight, 148 pounds; color of hair, Lightituring ; color of eyes,\nBlue\n;\nI was born in Valentia Ireland\nother visible distinctive marks: scars in bridge of nose effoidedhand\n(City or town)\n(Country)\non the\ny\nday of December\n, 191575\nMy present residence is 53 (Number nd/street) st (City new or town) London. (County) Ct (State)\nChappell\nThe place where I took the ship or train which landed me in the United States was\nGueenstown Ireland\nTentonic\n, on the (Month) 10th of april (Day) 1902 (Year)\nThe name of the ship or railroad on which I came was\nMy\nlast place of foreign said residence was A Valentia Ireland\n(City or town)\n(Country)\n{\nwife\nI am yes married. The name of\nis Julia said O.neill\nShe\nmy\nwas born at\nhusband\nHe\nPortmagee Ireland and now resides at\nI am now a subject of and intend to renounce allegiance to\nGrathBitain\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United\nStates immigration port of new york. city (City or\ntown)\nn (State or territory)\nyork\n,\non the 14-8 16th (Give day exact month, of day/and april year) 1902\n(OVER)"
}